FNA – ASC Archived Cyto-econferences

Fine Needle Aspiration (FNA)

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Archive Item Code: 3600-C

Item Name: Pediatric Cytopathology: Common Entities and Diagnostic Dilemmas
Sara E. Monaco, MD

Presentation date: June 24, 2014; Expires: June 24, 2017
The webinar will be a practical review and discussion of selected cases in pediatric cytopathology; illustrating a variety of common and uncommon entities seen in young patients.  Each case will be presented with a review of the cytopathological findings, followed by the differential diagnosis and pitfalls to be aware of in children.  There will also be a discussion of the utility of different ancillary studies in select cases.  The cases will cover common infectious, lymphoid, and small round blue cell tumors that occur in pediatric cytopathology, in addition to uncommon entities that one should be aware of and consider in the differential diagnosis.


Archive Item Code: 3600-D

Item Name: FNA Biopsy of the Liver
Gladwyn Leiman, MD

Presentation date: July 22, 2014; Expires: July 22, 2017
This archive addresses the usual and some unusual hepatic lesions encountered in FNA.  Concentrating on primary HCC, the presentation will then compare that entity with the more frequent metastasis seen in the liver.  Unusual entities will be seen to assist in recognition of morphology rarely seen.  Finally, the more recent changes in immunocytochemical adjunctive studies will be mentioned, together with those circumstances in which molecular pathology impacts on collection of appropriate material obtained from liver FNA.


Archive Item Code: 3600-F

Item Name: Importance of Rapid On-site Evaluation (ROSE) for EUS-FNA: Endoscopist Observations and Pathologic Diagnosis
Benjamin L. Witt, MD
Douglas G. Adler, MD

Presentation date: September 23, 2014; Expires: September 23, 2017
This archive will begin with an overview of the literature on the impact of rapid on-site evaluation of EUS-guided pancreatic FNAs. A case-based discussion focusing on specimen triage and intra-procedural communication will follow. The cases will center on common entities and their inherent diagnostic challenges. Both the endoscopist’s and pathologist’s perspectives will be presented.


Archive Item Code: 3600-G

Item Name: Pancreatic Cysts Evaluated by EUS-FNA: Current Status
Michele D. Reid, MD, MS

Presentation date: October 28, 2014; Expires: October 28, 2017
This is an overview of the challenges and practical clues for the cytologic diagnosis of non-neoplastic and neoplastic cystic pancreatic lesions encountered in every day practice. The lecture will include a brief overview of pancreatic fine needle aspirations (FNAs) and endoscopic ultrasound guided-FNA, its associated pitfalls and limitations, as well as the cytopathologist’s role in rapid on-site evaluation and specimen triage. This will be followed by a detailed discussion of the most commonly encountered low- and high-risk pancreatic cysts. A review of the key cytologic and clinical features, with histologic correlation, and diagnostic terminology will be included. The cytologic features of low- and high-grade atypia in neoplastic mucinous cysts will be included. The judicious use and interpretation of ancillary studies in diagnosing and distinguishing pancreatic cysts from common mimics will also be discussed.


Archive Item Code: 3600-J

Item Name: New Approaches and Common Problems in Soft Tissue Neoplasms Diagnosed by FNA Biopsy
Paul E. Wakely, Jr., MD

Presentation date: January 27, 2015; Expires: January 27, 2018
This archive will provide a platform for the review of the cytopathology of some of the major soft tissue lesions in adolescents and adults using a case-based format. The discussion will cover the major categories of myxoid, small rounded cell, pleomorphic, and spindled lesions. It will include the diagnostic perils and differential diagnoses associated with this unfamiliar and infrequently explored sphere of FNA biopsy cytology.


Archive Item Code: 3600-K

Item Name: Telecytopathology: Opportunities and Challenges
Brian T. Collins, MD

Presentation date: February 24, 2015; Expires: February 24, 2018
Telecytopathology is an exciting and emerging digital image service involving technologies which enable the cytopathology service to provide on-site immediate interpretation of FNA biopsies. It is becoming easier to implement and deploy systems utilizing currently available hardware and software solutions. Growing demands on health care providers will encourage more efficient use of the time required for managing and evaluating FNA biopsies. The specific hardware and software solutions available will be discussed. Plans for acquisition, validation, implementation, and work flow considerations will be covered. An overview of the current state of the art will be provided.


Archive Item Code: 3600-L

Item Name: Diagnostic Difficulties in Pulmonary Cytology and Optimal Use of Ancillary Testing
Hormoz Ehya, MD

Presentation date: March 24, 2015; Expires: March 24, 2018
Major diagnostic difficulties in pulmonary cytology include the differential diagnosis of benign/reactive conditions versus carcinoma and classification of neoplasms.  The new targeted therapies require accurate classification of lung tumors. Improved survival in cancer patients has led to the increased occurrence of second and third primaries, necessitating the use of immunocytochemical stains to determine the primary source. Furthermore, the increasing need for molecular studies mandates prudent use of immunostains in order to conserve tissue. In this webinar the morphologic criteria to distinguish benign from malignant lesions and appropriate use of immunostains in the differential diagnosis of lung tumors will be discussed. 


Archive Item Code: 3500-L

Item Name: Fine Needle Aspiration Biopsy of Head and Neck Lesions with Update on Molecular Diagnostics
Vicky Y. Jo, MD

Presentation date: March 25, 2014; Expires: March 14, 2017
Head and neck FNA practice includes a heterogeneous group of lesions, including salivary gland neoplasms, cervical lymph node metastases, and soft tissue tumors. This webinar focuses on a differential diagnosis-based approach to head and neck FNAs, and includes discussion of the application of ancillary studies and recent molecular advances in the field of head and neck pathology.

Archive Item Code: 3500-H

Item Name: Thyroid Fine Needle Aspiration Biopsy: The Contribution of Case Review and Second Opinions
Patricia G. Wasserman, MD

Presentation date: November 26, 2013; Expires: November 26, 2016
Inter-institutional consultation in pathology has shown to improve patient safety by detecting interpretative errors that may significantly impact clinical management. Opponents have alleged increased costs due to this consultative practice without considering potential cost of surgical complications, litigation expenses and cost avoidance from lost wages. This webinar will review the mayor sources of discrepancies in thyroid aspirations and explain the clinical impact of second opinions. A review of molecular testing as an adjunct tool to subjective morphologic criteria will be summarized.


Archive Item Code: 3500-A

Item Name: Endobronchial Ultrasound Guided Fine Needle Aspiration: Evaluating the Lung and Mediastinum
Barbara E. Chadwick, MD

Presentation date: April 23, 2013; Expires: April 23, 2016
Endobronchial ultrasonography with transbronchial needle aspiration biopsy (EBUS-TBNA) is a minimally invasive technique, increasingly being used to sample paratracheal, hilar or mediastinal lymph nodes or mass lesions for staging or diagnosis. EBUS-TBNA consists of fine needle aspiration performed with the assistance of a bronchoscope with an integrated ultrasound probe, often followed by rapid on-site cytologic evaluation. This webinar discusses the indications and limitations of this technique, appropriate handling of the cytologic specimen, and cytomorphologic diagnoses commonly encountered in this context


Archive Item Code:  3400-A

Item Name:  Breast Cytopathology: Diagnostic Pitfalls
Amy Ly, MD

Presentation date: April 24, 2012; Expires: April 24, 2015
Breast FNA specimens may be diagnostically challenging and it can be tempting to diagnose “atypical” or “suspicious for malignancy.”  However, cytopathology is most useful if we can minimize the use of grey-zone diagnostic categories.  During this webinar, we will briefly review morphologic features of commonly encountered breast lesions.  We will then address how to distinguish between various specific diagnostic mimics in the context of a pattern-based approach.


Archive Item Code:  3400-F

Item Name: EUS-FNA of the Pancreas: Finer Points of a Thin Needle Point
Nirag Jhala, MD, MIAC

Presentation date: September 25, 2012; Expires:  September 25, 2015
This webinar will highlight areas of challenges and pitfalls to avoid on common EUS-FNA samples obtained from the pancreas. In addition, it will highlight salient morphologic features of common solid and cystic pancreatic lesions.  Furthermore, the webinar will also highlight differential diagnosis and where indicated how to judiciously use ancillary studies that could help to further confirm the diagnosis on these limited samples.


Archive Item Code: 3400-K                     

Item Name: Morphologic Assessment and Ancillary Testing of Primary Lung Carcinomas by Fine Needle Aspiration Biopsy
Rodolfo Laucirica, MD                       

Presentation date: March 26, 2013; Expires: March 26, 2016
This webinar will review the cytologic features and ancillary tools used to differentiate primary lung carcinomas.  We will also discuss the current status of molecular markers used for therapeutic decision making in non-small cell lung cancers assessed by fine needle aspiration biopsy.


Archive Item Code: 3300-L

Item Name: Redefining Fine Needle Aspiration (FNA) Cytopathology
Prabodh Gupta, MB BS, MD, FIAC                                                   

Presentation date: March 27, 2012; Expires: March 27, 2015
Onsite FNA is the accepted standard of care.  Issues of communication, preparations, interpretation and reporting, essential for the accurate and precise diagnoses shall be addressed. In the shifting healthcare paradigm, topics of the point-of-care FNA service, compliance with regulations, FNA cart (Penn-A-Cart) with remote access capabilities and real time telecytopathology (TeleCyP) shall be introduced.


Archive Item Code: 3300-K

Item Name: What’s All the FLUS About? An Update on Experience with Bethesda System Reporting of Atypical Thyroid FNAs
Jeffrey F. Krane, MD, PhD                                                   

Presentation date: February 28, 2012; Expires: February 28, 2015
The Bethesda System for Reporting Thyroid Cytopathology provides for an atypical category variously termed atypia of undetermined significance (AUS) or follicular lesion of undetermined significance (FLUS). This webinar will review criteria for this controversial designation, provide an update on published experiences with AUS/FLUS, and suggest future directions for refining this category.


Archive Item Code: 3300-I

Item Name: Fine Needle Cytology of Pancreatic Tumors: an Integrated Approach.  
Mostafa M. Fraig, MD                                                         

Presentation date: December 13, 2011; Expires: December 13, 2014
This webinar focuses not only on the cytopathologic criteria for making the right diagnosis and avoiding pitfalls in pancreatic tumors, but also how to integrate the clinical and radiologic findings to reach this diagnosis with confidence and accuracy. Practical and logistical issues will be addressed as well.


Archive Item Code:   3300-A

Item Name: Fine Needle Aspiration of Deep-seated Masses with Histologic Correlation  
Grace C. H. Yang, MD

Presentation date: April 26, 2011; Expires: April 26, 2014
Cytologists are familiar with criteria of malignancy in Papanicolaou stain. The goal of this webinar is to correlate that with H&E sections of various tumors in lung, mediastinum, liver, pancreas, adrenal, kidney, and retroperitoneum. Tumors include various types of carcinoma, sarcoma, melanoma, germ cell tumor, and lymphoma. The technique of smear preparation, clues from gross inspection, clues from Diff -Quik stain, and low power microscopic examination will be emphasized. Following the webinar, participants will have the tools to interpret FNA in the framework of histology, radiology data and clinical presentation.


Archive Item Code:  3300-F

Item Name: Fine Needle Aspiration Diagnosis of Non-Hodgkin B-cell Lymphomas
Guoping Cai, MD

Presentation date: September 27, 2011; Expires: September 27, 2014
Diagnosis of non-Hodgkin B-cell lymphomas by fine needle aspiration (FNA) biopsy can be difficult and remains controversial.  This webinar outlines an approach to improve the diagnosis by including on-site evaluation and combining cytomorphologic features with ancillary studies such as flow cytometry and fluorescence in-situ hybridization.  Diagnostic pitfalls and limitations are also discussed.